55336_PARKER, BILL_20100415

❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit#
El New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and NaturaIR rces
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
El Rules attached.
Applicant Name ii'�� Project Location: County f-; ' 1 i C C?
Address �i ( r 1 (1 Street Address/ State Road/ Lot #(s) `' `-T/
City State -MC ZIP
Phone # ( ) ! �,._� Fax # ( Subdivision
ZIP t Authorized Agent �-- ; t y'Ili! j City `, F
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ElIH ElUBA ElN/A
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Phone # (
River Basin
Adj. Wtr. Body f " �7 i ti (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/Activity 0f",t % �'' n; y �" - _ i j i u I �' 1k2
(Scale: )
Pier (dock) length
Platform(s) —
Finger piers)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp t _
Boathouse/ Boatlift f `�
I
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{
N
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-} - - -
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Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
_
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rules.
-
- -
River Basin
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© See
1 � , 41
note on back
regarding
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date i Expir n�D-ate
Local Planningf urisdiction Rover File Name

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar -Pamlico River Basin Buffer Rules ❑ Other:
❑ Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington
Regional Office (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Raleigh Office
Morehead City Headquarters
Mailing Address:
400 Commerce Ave
1638 Mail Service Center
Morehead City, NC 28557
Raleigh, NC 27699-1638
252-808-2808/ 1-888ARCOAST
Location:
Fax: [phone]
2728 Capital Blvd.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
919-733-2293
Fax: [phone]
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06

ATLAa
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary
Date 30l V
Applicant Name
Mailing Address 3 �� 5 Jev\ r�\n S �G
ITO
r—
r
I certify that I have authorized (agent)
to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) 30A Lat (location)
This certification is va id ru (date)
r"�
Signature
L.
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to
(Name of Property Owner)
property located at \� 1`' e �Se. w \`n� S b'r.
Is
(Lot, Block, Road, etc.)
on Ne�Se �.�{�� ,in ofve- � N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me.
-Vic ,r, i,r>
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
(Applicant Information)
PO 160' \11\0
Mailing Address
4
City/State/Zip
0 _ D.y6�-
Telephone Number
'3130110
(Riparian Property Owner Information)
Signature v U U ( /
Print or Typ#4&be
k q1 38�3
Telephone Number
Date Date
!A S

Adjacent Riparian Property Owner Statement Page 1 of 1
Adjacent Riparian Property Owner Statement
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to l' ����'C C �r 's
Nam U�-'
f Property Owner
property located at i e �*\�
n ( n Lot, block, road, etc. /l
on �e0i�, 1<�JCI ,in OT"�CIAti` ,NC
Waterbody Town and/or county
He has described to me, as shown below, the development he is proposing at that location and I have
no objections to his proposal.
I do not wish to waive the setback requirement.
I do wish to waive the setback requirement.
Description and/or Drawing of Proposed Development
(To be filled in by the individual proposing development)
a
— is D
1
11 ?/J
S'gn ture
Print or type name
-zl-q �- 0
Telephone number
X;
Date
pert,
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http://www.innerbanks.biz/arpos.htm 4/6/2010

Untitled Page
Page 1 of 2
2.50A
13
K0B-72-14
Scale: 1:1200
/
Pamlico County M p: Parcel Number
- 0
�
2.32A
FIELD
VALUE
P HRIMETER
902.60262551
/
K0O-72-7
IVAPID
K08-72-10
/
6 UJ
F ODE
PIN LOCATION
RES
0
i
cf i
1.01A
COUNT
28103
J7 r�
PID_1
K08-72-10
r
PIN
7408754441
KOB-72-8
IV AP
7408
KOB-72-9
BOCK
75
PAR ER MARGARET R
L T
44
NER_NAME
PARKER MARGARET R
KOB-72-10
NER NA 1
NER_ADDR
3219 SEVEN SPRINGS F
KL18-72-12 KOB-72-1 1
NER_CITY
HILLSBOROUGH
NER STAT
INC
NER ZIP
27278
S TUS_ADDR
341 NEUSE WINDS DR
DEED_ACRES
0
LC ACRES
0.8
DEED_YR
DEEDBOOK
534
DEEDPAGE
478
PLAT
SALEDATE
[unsupported data type]
SALE_AMT
376500
LEGAL DESC
LOT 10 NEUSE WINDS ;
BLDG VAL
178058
http://www.pamlicocountygis.comlmapguidelpamlicogislploticreateprintpage.aspx?SESSION=99eO92c4-1 e47-102d-8000-9cd4... 3/30/2010

NIC Division of Coastal a Habitat Impact Computer Sheet
Applicant: Bill Parker
Date: April 15, 2010
General Permit #: 55336C
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FINAL Feet
(Applied for.
(Anticipated final
(Applied for.
(Anticipated final
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
disturbance.
Habitat Name
Choose One
includes any
Excludes any
total includes
Excludes any
anticipated
restoration
any anticipated
restoration and/or
restoration or
and/or temp
restoration or
temp impact
tem p impacts)
impact amount)
temp impacts)
amount
ow
Dredge ❑ Fill ❑ Both ❑ Other O
169
169
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
- -- B n 1-8 - OA T .. ---- w.nccoas alman t.net revised., OZV3110

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PO BOX 190
ORIENTAL, NC 28571
Pay to the P\
Order of
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472
Date
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First Citizens
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